…responds to further cholinesterase inhibition. The test has a sensitivity of around 60 % and is not specific: motor neurone disease, myopathies and Lambert–Eaton syndrome…

…of systemic disease or a potential embolic source Neurological assessment is central to triage. Sensory loss extending beyond the toes and, especially, any motor deficit…

…classical lacunar syndromes, namely: (1) pure motor stroke/hemiparesis (2) ataxic hemiparesis (3) dysarthria (4) pure sensory stroke (5) mixed sensorimotor stroke. Cardioembolic stroke Thromboembolism…

…gives faster setting and more heat production — a risk of burns Document the distal neurovascular status before casting : sensation, motor function, pulses and capillary refill…

…rhythm, anxiety, fear and delusions are common but not obligatory. Psychomotor subtypes Subtype Typical picture Clinical significance : : : Hyperactive Agitation, motor restlessness, picking, calling out, irritability…

…contaminated wounds where a long time has passed since the injury (see below). Be particularly cautious with impaired healing: peripheral vascular disease, diabetes with neuropathy…